COVER LETTER

Tamara ("Tamme") Pfeifer, RN, BSN

To whom it may concern,

I have a long history of working in many different medical areas, Including

Including primarily hospital work at approximately 90% of my career. I feel very

comfortable preforming almost all required hospital required nursing duties. I have

worked several years as charge nurse. I have worked in ICU, NICU, Neuro Trauma,

Neuro surgery, Neurology, Long Term Care Facilites, behavioral health and

chemical dependency, pain management, and all Medical Surgical units, includijng

Telemetry. I also have RN Charge experience at OHSU (15+ yaers in my 23 years)

there and at Cedar Hills Behavioral Health, Chemical Dependency and Pain

Mangagement. Recommendations available. I have broad knowledge of working

with psychotropic medication, medical drugs, and in addition, I have a medication

program on my cell phone that I can use at any time if I have a question. I learn

quickly and have a broad knowledge of computer skills. I have experience in

dealing with MD's and families in a kind and professional manner. I work extremely

well with others and I am a team player. I have several years of charge RN, BSN

experience in which I was responsible for talking to families, MD's, PT, OT SLP, etc.

and coordinating care with case management. I am very capable and

knowledgeable with Case Management. I have knowledge of Medicare and other

rules as regarding placement of patients. I have experience talking with patient

and families on phone and in person considering HIPPA rules and regulations, etc. I

have a good knowledge of recruiting laws and regulations related to this and

Resume writing. I am a very hard worker and do extra things for patients and my

co workers. I would not be a disappoint for anyone that chooses to hire me. Thank

You for your consideration. In addition to the above I would work harder than any

RN you could hire and if you hire me I will prove this to you. I am currently working

on getting my insurance license and studying for my certificate in Behavioral Health

and Psychological Nursing.

Tamara ("Tamme") Pfeifer, RN, BSN

ac508f@r.postjobfree.com

503-***-****

6320 SW Lombard Ave, Apt.29

Beaverton, OR 97008

RESUME:

Education:

Graduated from Woodburn High School with a 4.00 GPA in 1975 in Woodburn,

Oregon.

Graduated from University of Portland with a 3.84 in 1979 with a BSN.

Post graduate studies in pre-med part time for 2 years at Portland State University.

Studying for Psychiatric/Mental Health RN Certificate and Chemical Dependency

RN Certificate.

Studying for insurance license with Colonial Penn.

Summary or Experience and qualifications:

2014 2015

I have been caring for a termanally ill family member much of last year and this

year approximately 6 7 days per week.

2001 2015

Integrated Health Care Solutions

Worked at many different facilities i.e. ER, Day Surgery, Behavior Health in

patient, Chemical Dependency units, i.e. CODA, Telecare, Providence Adult Care

Mental Health Acute care inpatient Providence inpatient Chemical Dependency

Unit and many other facilities. Child and Adolescent psychiatric and care centers:

Alberta Kerr Center, Perry Center, Dornbecker's Hospital, Shriner"s Hospital and

others. Day surgery experience i.e. starting IV's, obtaining consents, drawing

blood, admission and discharge procedures, and giving IV and oral medications as

prescribed. I have charge RN experience in which I was responsible for many

patient in both long term care (senior and rehabilitating Facilities i.e Prestige and

Avamere) and psychiatric residential facilities I was successful in delegating other

RN's and LPN's, techs.and CNA's appropriately. In addition I was employed at

Cedar Hills Hospital because of my work through the Agency and started working

there without applying for the position and with no orientation by Cedar Hills

Hospital for a FT position by COO, CON, Supervisor and Manager of Nursing due

to my outstanding work via working there via temp. nursing. I have also been

asked by several long term care units to become an employee as well, but was

unable to at the time.I also have worked with children at Schriner's, Dornbecker's,

Perry Center, Telecare, kerr Center for children. I have a stack of over 150 perfect

evaluations that you can veiw if needed. I love being a nurse and love to work. I

would be the perfect nurse to call in on a short notice if needed so.

1999 2006

Tero Medical Recruiting

Started my own Recruiting Company recruiting health care and other engineer

professionals from across the US and abroad. I learned a lot doing this including

nursing laws in different states and abroad. Found sponsors for abroad clients who

were nurses. Wrote Professional Resumes for Clients at their request.

2003 2009

Health Care Service, LLC.

9021 SW Barbur BLVD. #207

Portland, OR 97219

503-***-****

Travel Nurse work as RN, BSN worked as Med Surg. RN in many different

Hospitals and Facilities. Worked a lot in Psychiatric Hospital Units and Psychiatric

Facilities. Also worked in Acute Long Term Care Facilities and Rehabilitation

Facilities, day surgery, etc.

6/2007 12/2014

Cedar Hills Behavioral Health and Chemical Dependency Hospital

Pain management patients

Dual diagnosis treatment

Behavioral Health

Chemical Dependency treatment

Military Patients (PTSD, Dual diagnosis, etc.).

Pain Management

SOMA Trained (Training in help prevent injury to patients and staff)

Trained in using 4 point restraints as needed as a last resource..

As Charge Nurse I made sure that patients were kept safe and evaluated their

suicide ability and other behaviors that were dangerous to themselves or others

and notified their Providers and others on the patients team as needed. I am

knowledgeable in assessing patient using COWS and CIWA's and medicate as

order. I am also able to administer Suboxone and Subutex as ordered and needed

by assessment and MD's order. I report any changes in their behavior and

evaluated if medication was helpful by evaluating patient's CIWA'S or COWS after

medication is given. Attended Team meetings and shared my observed and

documented information so the team was able to provide the next step, how

medication changes were helping (Both Psychotropic and Medical

Medications).Talked with patients families with regards to HIPPA regulations.

I also was successful in talking with patients on a 1:1 basis and able to calm

them and in most cases I was successful with this and I truely enjoyed helping

patients in this manner.

Frequently was leader of groups and researched on my own time and got

approval of many topics for groups.

5/1979 2002 ( I added this only because I think it is important to my history as an

RN, BSN)

Oregon Health Science University Hospital

Worked on Neurologic, Neuro/ Trauma and Ear, Nose, Throat Unit

Unit involving pre op, post op, Chemotherapy,

Ventilator Cares including suctioning NT, oral and new laryngectomies from

laryngeal or esophageal cancers. Also maintained patients on ventilators, CPA P's,

and respirators..

As Charge RN I was responsible for making assignments on days of work and

make certain that the assignment fit the RN's abilities and in addition to make

certain that the patients were taken care of professionally.

Talked with MD's, families, and other health care personnel to evaluate and treat

as MD ordered and attended discharge planning meetings an and discussed

patients post care needs, etc.

Cared for comatose and semi comatose patients, requiring total care.

Paraplegic and Quadraiplegic patients. With experience in transferring the patient

by self..Also, taught patient to transfer self with just stand by assist using

approved equipment.

Licenses :Oregon State Board of Nursing 07043653RN to expires:

10/28/2015

CPR including baby's, pediatric's and aldolescent's and adult's with AED

expires 04/2016.

All immunizations are up to date. (all childhood immunizations, PPD is negative

and recent tetnus immunization.

Complete Pysical completed 04/07/15

Skill Highlights

Health and wellness expertise

Medication administration expert

Skilled in conducting physical examinations

All different drains in ICU i.e.bile drains, CSF drains, and others

Laparoscopic procedures familiarity

Pediatric exams competency

BAC screening/drug screen collection

Vascular care understanding

Dermatology training

Geriatric treatment knowledge

Psych and mental health care proficiency

Broad medical terminology knowledge

Committed to compliance reporting

Effective policy and program development

Diagnostic tools experience

BAC screen/drug screen collection ability

Successful treatment per MD order and able to notify MD of possibe incorrect

dosage of medication or a possible incorrect treaatment by notifying Charge

RN and notifying MD. Notifed Pharmacist of incorrect dosages in Pxis and

other medication despensing machines by carefully checking dosages.

Culturally sensitive

Strong medical ethic

Computerized charting specialist

Enthusiastic caregiver

Diabetes: CBG readings and insulin administration as indicated

Hospice and Stroke Patient Care

Familiarity with disease management programs

Trained in in and out patient care

Wound cleaning/care experience

Infection control standards

Flow sheet charting

Acute and rehabilitative care

IV drug therapy management

Mobility assistance

Colostomy care familiarity

Gastro enteral nutrition education

Body mechanics knowledge

Hematology testing aptitude

Specimen collection/processing proficiency

Sterilization technique

Acute and rehabilitative care

Frequent teaching of medications to patients when indicated.

Medication program on cell phone with detailed information on medications

Excellent knowledge of psychotropic medication and medical medications.

Very qualified at calming agitated patient

Able to identify patients need for need of psychotropic medications for anxiety

and other psychological medications.

Ventilator and other respirator skills

Able to communicate well with patients, staff and families in a professional and

friendly manner.

I have excellent computer skills and able to learn quickly, have worked at

agencies and able to learn in a expedient manner. Familiar with many

different computer programs.

Day surgery experience able to pre op patients and start IV's and other pre op

procedures, as well as safely post op and discharge patient, explain to

patient and family post op procedures and things to expect or not to expect.

Teaching to other staff and patients and family on a regular basis both at

discharge and phone questio

Experience giving Chemotherapy i.e. 5 FU, Cisplatanim, Carboplatanim and

others. Worked with Dr. Neuwelt who gave chemotherapy to brain tumors in

surgery crossing the Blood Brain Barrier.

I am skilled in doing a head to toe assessment on patients and documenting it

appropriately.

Case Management work with Behavioral Health and Chemical Dependency

patients.

Recommendations available upon request

I am a very experienced RN and I believe I would be a great employee at your

facility.

Respectfully Yours,

Tamara Pfeifer, RN, BSN

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